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Y <br /> �,�7Y C.F LVLt'C� I <br /> Cit�� I�{all Pf-uf:E: N�j.in� :- rl �1 <br /> Ev�rett � '+�ashins,ton <br /> � _IiV ,f-tCll(,b� JEF,riT:iFicT LUl APFrU��AL SHEET_ <br /> idA�:i=�� _ .�Oni/� S ADllRESS <br /> � �`O ��0� - 7� . <br /> NilDR�S5 UF rF,UrOS�U BUILLICIG �.�'� L Sl� f'— U� j����'i��^'���i l�`'F'''�5 <br /> LEGAL DE5CRIPTION: LUT_� BLOCK /D�� ADDITI�fJ � D h;( ��+n�4 � �� <br /> '' TYPE �F USES �zS � ICO. GF E3EDF�Of�15 � SIZE OF LUT ���X � SG� <br /> ;�L'k�E UF uRlidl<IiJr; ,�FifER: r�l3LIC SUPFLY � FrtIVATE �.+ELL _ <br /> A. 3L'RFACt DRAIPIAGE <br /> 1, i ; disposal field site v:e11 drained'? ��S <br /> 2. %Any water coursa �streun� drai�a�e ditch� etc. ) throuph site'? NO <br /> 5. TOFOGRAPHY <br /> l . Any he+>>y slopec in Pield area? ��� <br /> ?, ;lill pr�.sunt topsoil i� field area be removed or praded before fic:ld iiles ar�� <br /> installed? /VC� <br /> 3. .iill a��y fill material be used in the disposal fi�ld site? NC) If yus� no�+ <br /> muc�, <br /> C. �IL C�NDITIOPJS <br /> 1. Nas a hole at leasi 4 feet deep been dug in the disposal fi�ld area to determine <br /> .he type of soil present? li�c <br /> ?, r�fter hole is dup record the oil condiiions at the follov+in� depil�s: <br /> �hecord as sand� gravel � clay� packed sand� loam� etc. ) <br /> 12 inches � 30 inches <br /> . 18 inches / � -`'' 36 inches <br /> 24 inches `� 1_=_ 48 inches Si1iJ�`� •� �2i7a� <br /> . Hny �round wai��`encount•�red before reachinp a depth of 4 feci�•' n�C'___ <br /> . I f so� at what`�dc-pth?_ � <br /> D. :lATER TEST <br /> A siinple water test will show how .vell this soil v+ill drain or percolata viatcr. <br /> To perform this test: <br /> 1. Uig a hole at least 36 inches deep. Use a shovel or post hole di���r� si >e <br /> of hole makes no difPerence - only depth. <br /> �. Fill hole with watar. Now let all water run out of hole. This soaks the <br /> �round and will give a more accurate readinp. <br /> 3. A�ain pour ,vater in hole to a hei�ht of 12 inches from the botiom. L;•{ <br /> water run oui until there is just 6 inches from bottom left in hale.7� <br /> . Plote how many minutes it takes for this last 6 inches to seep away._ <br /> ` llivide ihis time by 6 to obtain theI r�te per inch.� r�1 ��- <br /> G. Date water test was performed. 'L./ � �' ' ti�'�� <br /> I hereby certify tha above information to befcorreci and th above tesis �vcre per- <br /> furmed by me as prescribed. n <br /> Signed ; <br /> � � -� <br /> Ad��ress un 1 - � �3s'�ib 5:+! Sv��P, ,^� <br /> r:(!lt: A septic tank permii is issued on the basis of the above informatiun. IF <br /> there are any chan�es or alterations in Ehe above stat�d soil conditions� ii may <br /> r,��.�11 ',n thc in>t-111ation b�in�� rejec'!eci al th=� tinie of insp�ction. <br /> . <br />